Unit of competency Outline

Date retreived
22/07/2026 8:37 AM AWST

Whilst all efforts are made to provide accurate and timely information from the relevant source/documentation, please be aware that the information supplied may not be the most current version. The accuracy of the detail has not been confirmed by the Department and therefore should not be relied upon without first confirming the contents.

Plan and implement loss investigation

Plan and implement loss investigation

Unit of competency
National Code
FNSILA501
State Code
AUS06
TGA Status
Replaced
DTWD Status
Replaced
Current Release Number
1.00
Current Release Date
25/03/2015
View on TGA
State Implementation and Classification
Approved Date
16/09/2015
Field of Education
081103 - Insurance And Actuarial Studies
Original Release Date
16/09/2015
Nominal Hours
120
Description
This unit describes the skills and knowledge required to use high level analytical, liaison and planning skills to interact with clients, authorities and specialists in coordinating loss investigations that determine the extent of loss, damage or injury.It applies to individuals who, within their level of responsibility, use specialised knowledge and organisational skills to coordinate a range of activities to ensure thorough and accurate completion of activities.Work functions in the occupational areas where this unit may be used are subject to regulatory requirements. Refer to the FNS Implementation Guide Companion Volume or the relevant regulator for specific guidance on requirements.
Notes
Elements and Performance Criteria
1. Receive instructions from client
  • 1.1 Establish comprehensive terms of reference or instructions that meet requirements of relevant parties prior to engagement
  • 1.2 Promptly advise relevant parties of decisions to accept or reject terms of reference or instructions and reasons for such decisions
  • 1.3 Negotiate, confirm and clearly document acceptable terms and instructions that are within client or organisational policy and legislative guidelines, codes of practice and personal authorities
2. Establish relevant facts
  • 2.1 Thoroughly, systematically and accurately collect facts, evidence and information relevant to circumstances of loss, damage or injury
  • 2.2 Identify information deficiencies and obtain additional from appropriate sources
  • 2.3 Assess validity of loss situation and/or claim fairly and impartially against reported circumstances, available evidence, facts and information
  • 2.4 Determine insurance cover for loss, damage or injury where applicable and review policy conditions to ensure loss falls within policy coverage
  • 2.5 Establish contractual and/or other obligations of each party to circumstances under enquiry
  • 2.6 Accurately and consistently identify fraud indicators
  • 2.7 Organise all relevant facts, evidence and information, and document confidentially into coherent body of case knowledge
3. Plan and implement loss investigation
  • 3.1 Analyse available facts, evidence and information to determine viable course of action and appropriate investigative activities
  • 3.2 Assess investigative activities for appropriateness to loss situation and compliance with relevant legislation, codes of practice, insurers, client, organisational or other guidelines
  • 3.3 Identify and determine requirements for urgent action to protect client interests
  • 3.4 Establish appropriate and confidential channels of communication with clients and other relevant parties
  • 3.5 Establish and maintain professional and cordial relationships with all relevant parties during investigation
  • 3.6 Establish and maintain comprehensive records of investigative activities, methodology and time spent during investigations
4. Preserve evidence
  • 4.1 Progressively collate all evidence gathered, and record promptly and accurately
  • 4.2 Preserve evidence gathered by appropriate means for subsequent assessment and enquiry
5. Liaise with authorities
  • 5.1 Liaise with all appropriate authorities whenever and wherever required
  • 5.2 Receive clearance or authorisation for investigative activities from appropriate authorities, where required, and record promptly
6. Verify and document information
  • 6.1 Regularly review facts, evidence and information gathered and assess for thoroughness and consistency
  • 6.2 Employ all appropriate methods within client, organisational, legislative, code of practice or other guidelines to clarify conflicting evidence or information
  • 6.3 Promptly and accurately document and record investigative actions, procedures and outcomes
7. Appoint specialists
  • 7.1 Promptly and accurately determine need to appoint specialist assistance and convey to client and other relevant parties
  • 7.2 Engage appointed specialists as required and brief thoroughly
No information
No information
Replaces
State Code National Code Title Type
D4218 FNSILA501A Plan and implement loss investigation Unit of competency
Replaced By
State Code National Code Title Type
OCZ32 FNSILA511 Plan and implement loss investigations Unit of competency
State Code National Code Title Type
AWF7 FNS51415 Diploma of Loss Adjusting Qualification